SLP (Speech-Language Pathologist)
Praxis II Practice Questions with
correct Answers (A+ GRADED 100%
VERIFIED)
Questions taken directly from ETS practice exams.
Emphasis on "special topics."
49-year-old patient was involved in a motor vehicle accident and suffered damage to
the cerebellum or brainstem vestibular nuclei. He was experiencing problems with
articulation and prosody. He also exhibited slurred speech and discoordination of
sounds. His direction, force, and timing of movements were affected. The physician
diagnosed him with:
A. Hyperkinetic dysarthria
B. Ataxic dysarthria
C. Flaccid dysarthria
D. Spastic dysarthria - ANSWER: B. Ataxic dysarthria
A 2-year-old client with delayed language was added to your caseload. Following
initial introductions with the client's mother, she noted that he recently started having
difficulties with feeding and breathing. You complete an oral mechanism examination
and notice that his tongue is positioned posteriorly (glossoptosis), covering his
airway. He has an unusually small mandible and has incomplete closure of the roof
of the mouth (cleft palate). He also presents with a unilateral conductive hearing
loss. This patient should receive further evaluation, but the symptoms indicate that
he has:
A. Landau-Kleffner syndrome
B. Pierre-Robin syndrome
C. Fragile X syndrome
D. Moebius syndrome - ANSWER: B. Pierre-Robin syndrome
A 2-year-old with an unrepaired cleft palate was recently seen for an evaluation.
When comparing the child's data to developmental norms, the speech-language
,pathologist determines that the child has not mastered bilabial stops. Why would
developmental norms not determine whether the child receives speech treatment?
A. The child does not have the anatomical capacity to produce bilabial stops.
B. The speech-language pathologist would need to consult with medical
professionals before determining treatment.
C. Developmental data do not apply to every child.
D. Every child develops at a different pace. - ANSWER: A. The child does not have
the anatomical capacity to produce bilabial stops.
A 67-year-old man comes to you for an evaluation. He states that his voice has been
getting "weaker" for the last 5 or 6 months. During oral peripheral examination, you
find that he has fasciculations (tremors) of the tongue and some general facial
weakness. What is the first thing you do?
A. Refer him to a psychologist for an evaluation.
B. Take detailed notes and tell him to come back in 6 months.
C. Begin voice therapy, focusing on strengthening exercises.
D. Refer him to a neurologist for an evaluation. - ANSWER: D. Refer him to a
neurologist for an evaluation.
A 70-year-old man who recently had a single left hemisphere stroke has been
referred to you. The referring neurologist suggested possible damage to Broca's
area and the surrounding tissue. Your initial conversation revealed an impaired oral
sensation and a general awareness of his problems. The patient spoke at a
deliberately slow rate; he made many speech errors that were highly variable; his
automatic speech was relatively unaffected; and he often substituted voiceless
speech sounds for voiced ones. What would be your suspected diagnosis and
assessment strategy for this patient?
A. Suspecting Broca's aphasia, I would assess language production, including
fluency, word output, grammaticality, naming, comprehension of syntactic structures,
and so forth.
B. Suspecting apraxia of speech, I would assess in detail speech production
problems, including imitated; evoked; and repetitive productions of phonemes,
syllables, - ANSWER: B. Suspecting apraxia...
A 9-year-old child was seen for an evaluation because of a major dysfunction in his
gastrointestinal tract. The child had short bowel syndrome, resulting in the removal of
a major part of the intestines. The gastroenterologist most likely would recommend
A. a jejunostomy tube (J-tube).
B. a duodenal tube (duo-tube).
, C. a gastrojejunal tube (GJ-tube).
D. total parenteral nutrition (TPN). - ANSWER: D. total parenteral nutrition (TPN)
A child comes to your clinic with her mother for articulation and language therapy.
The mother tells you that her daughter has Hurler's syndrome. What causes Hurler's
syndrome?
A. An expanded number of CGG nucleic acid repeats on a specific gene on one of
the distal ends of the Y chromosome
B. A spontaneous autosomal dominant mutation of FGR2 at 10q25-26
C. Autosomal dominant inheritance and deletion in the region of the long arm of
chromosome 15 (15q11-15q13)
D. Autosomal recessive deficiency of X-L iduronidase - ANSWER: D. Autosomal
recessive deficiency of X-L iduronidase
A child is brought to you with the following symptoms: disturbed balance, awkward
gait, and uncoordinated movements, as well as some dysarthria. You suspect
A. spastic cerebral palsy.
B. traumatic brain injury due to a gunshot wound.
C. ataxic cerebral palsy.
D. athetoid cerebral palsy. - ANSWER: C. ataxic cerebral palsy
A child with cerebral palsy has higher auditory detection thresholds, poorer speech
reception thresholds, and poor speech discrimination than a typically developing
child. You would recommend:
A. an audiological examination.
B. stretch reflex testing.
C. a complete swallowing evaluation.
D. a visual acuity assessment. - ANSWER: A. an audiological examination
A clinical supervisor is discussing intelligibility with her graduate student clinician.
She asks the student, "Which of the following is not a factor that influences
intelligibility of an utterance?"
A. Frequent abnormality in the clients' speech
B. Context in which the communication occurs
C. Consistency between the target and its realization
D. Loss of phonemic contrasts - ANSWER: C. Consistency between the target and
its realization
A high school teacher refers a Mandarin-speaking 16-year-old to you for an
evaluation. The student and his family came to the United States 2 years ago from
Praxis II Practice Questions with
correct Answers (A+ GRADED 100%
VERIFIED)
Questions taken directly from ETS practice exams.
Emphasis on "special topics."
49-year-old patient was involved in a motor vehicle accident and suffered damage to
the cerebellum or brainstem vestibular nuclei. He was experiencing problems with
articulation and prosody. He also exhibited slurred speech and discoordination of
sounds. His direction, force, and timing of movements were affected. The physician
diagnosed him with:
A. Hyperkinetic dysarthria
B. Ataxic dysarthria
C. Flaccid dysarthria
D. Spastic dysarthria - ANSWER: B. Ataxic dysarthria
A 2-year-old client with delayed language was added to your caseload. Following
initial introductions with the client's mother, she noted that he recently started having
difficulties with feeding and breathing. You complete an oral mechanism examination
and notice that his tongue is positioned posteriorly (glossoptosis), covering his
airway. He has an unusually small mandible and has incomplete closure of the roof
of the mouth (cleft palate). He also presents with a unilateral conductive hearing
loss. This patient should receive further evaluation, but the symptoms indicate that
he has:
A. Landau-Kleffner syndrome
B. Pierre-Robin syndrome
C. Fragile X syndrome
D. Moebius syndrome - ANSWER: B. Pierre-Robin syndrome
A 2-year-old with an unrepaired cleft palate was recently seen for an evaluation.
When comparing the child's data to developmental norms, the speech-language
,pathologist determines that the child has not mastered bilabial stops. Why would
developmental norms not determine whether the child receives speech treatment?
A. The child does not have the anatomical capacity to produce bilabial stops.
B. The speech-language pathologist would need to consult with medical
professionals before determining treatment.
C. Developmental data do not apply to every child.
D. Every child develops at a different pace. - ANSWER: A. The child does not have
the anatomical capacity to produce bilabial stops.
A 67-year-old man comes to you for an evaluation. He states that his voice has been
getting "weaker" for the last 5 or 6 months. During oral peripheral examination, you
find that he has fasciculations (tremors) of the tongue and some general facial
weakness. What is the first thing you do?
A. Refer him to a psychologist for an evaluation.
B. Take detailed notes and tell him to come back in 6 months.
C. Begin voice therapy, focusing on strengthening exercises.
D. Refer him to a neurologist for an evaluation. - ANSWER: D. Refer him to a
neurologist for an evaluation.
A 70-year-old man who recently had a single left hemisphere stroke has been
referred to you. The referring neurologist suggested possible damage to Broca's
area and the surrounding tissue. Your initial conversation revealed an impaired oral
sensation and a general awareness of his problems. The patient spoke at a
deliberately slow rate; he made many speech errors that were highly variable; his
automatic speech was relatively unaffected; and he often substituted voiceless
speech sounds for voiced ones. What would be your suspected diagnosis and
assessment strategy for this patient?
A. Suspecting Broca's aphasia, I would assess language production, including
fluency, word output, grammaticality, naming, comprehension of syntactic structures,
and so forth.
B. Suspecting apraxia of speech, I would assess in detail speech production
problems, including imitated; evoked; and repetitive productions of phonemes,
syllables, - ANSWER: B. Suspecting apraxia...
A 9-year-old child was seen for an evaluation because of a major dysfunction in his
gastrointestinal tract. The child had short bowel syndrome, resulting in the removal of
a major part of the intestines. The gastroenterologist most likely would recommend
A. a jejunostomy tube (J-tube).
B. a duodenal tube (duo-tube).
, C. a gastrojejunal tube (GJ-tube).
D. total parenteral nutrition (TPN). - ANSWER: D. total parenteral nutrition (TPN)
A child comes to your clinic with her mother for articulation and language therapy.
The mother tells you that her daughter has Hurler's syndrome. What causes Hurler's
syndrome?
A. An expanded number of CGG nucleic acid repeats on a specific gene on one of
the distal ends of the Y chromosome
B. A spontaneous autosomal dominant mutation of FGR2 at 10q25-26
C. Autosomal dominant inheritance and deletion in the region of the long arm of
chromosome 15 (15q11-15q13)
D. Autosomal recessive deficiency of X-L iduronidase - ANSWER: D. Autosomal
recessive deficiency of X-L iduronidase
A child is brought to you with the following symptoms: disturbed balance, awkward
gait, and uncoordinated movements, as well as some dysarthria. You suspect
A. spastic cerebral palsy.
B. traumatic brain injury due to a gunshot wound.
C. ataxic cerebral palsy.
D. athetoid cerebral palsy. - ANSWER: C. ataxic cerebral palsy
A child with cerebral palsy has higher auditory detection thresholds, poorer speech
reception thresholds, and poor speech discrimination than a typically developing
child. You would recommend:
A. an audiological examination.
B. stretch reflex testing.
C. a complete swallowing evaluation.
D. a visual acuity assessment. - ANSWER: A. an audiological examination
A clinical supervisor is discussing intelligibility with her graduate student clinician.
She asks the student, "Which of the following is not a factor that influences
intelligibility of an utterance?"
A. Frequent abnormality in the clients' speech
B. Context in which the communication occurs
C. Consistency between the target and its realization
D. Loss of phonemic contrasts - ANSWER: C. Consistency between the target and
its realization
A high school teacher refers a Mandarin-speaking 16-year-old to you for an
evaluation. The student and his family came to the United States 2 years ago from
